Active NPI
Joan Hifumi Wylie, M.S./CCC-SLP
- Speech-Language Pathologist
- Honolulu, HI
National Provider Identifier
1295070167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 956
- Practice address
- 60 N Kuakini St
Apt 2-I
Honolulu, HI 96817-2452 - Phone
- (808) 282-0228
- NPI assigned
- Dec 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 956 | HI | Primary |
Addresses
Primary practice location
60 N Kuakini St
Apt 2-I
Honolulu, HI 96817-2452
Mailing address
PO Box 61999
Honolulu, HI 96839-1999
Phone (808) 282-0228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 956 | HI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1295070167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61999",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968391999",
"telephone_number": "808-282-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N KUAKINI ST",
"address_2": "APT 2-I",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172452",
"telephone_number": "808-282-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYLIE",
"first_name": "JOAN",
"middle_name": "HIFUMI",
"name_prefix": "Mrs.",
"credential": "M.S./CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-04",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "HI",
"license": "956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.